Displaying 152761-152770 of 1611142 results.
ID:
152761
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152762
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152763
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152764
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152765
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152766
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
152767
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152768
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152769
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
730872
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
152770
Formulary ID:
00021062
Formulary Version:
15
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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